institution
Ideal Self Llc
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1467182774

Ideal Self Llc is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Ideal Self Llc practices in Phoenix, AZ. The NPI Number for Ideal Self Llc is 1467182774 and holds a License No. (Arizona).

The current practice location address for Ideal Self Llc is 12620 N Cave Creek Rd Ste 10A, Phoenix, AZ and can be reached out via phone at 623-303-6777.

Location: 12620 N Cave Creek Rd Ste 10A, Phoenix, AZ, 85022-6528
institution
Provider Profile Details
NPI Number
1467182774
Provider Name
Ideal Self Llc
Credential
Provider Entity Type
Organization
Address
12620 N Cave Creek Rd Ste 10A, Phoenix, AZ, 85022-6528
Phone Number
623-303-6777
Fax Number
Provider Enumeration Date
06/10/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12620 N Cave Creek Rd Ste 10A
City
State
Zip
85022-6528
Phone Number
623-303-6777
Fax Number
person
Provider Business Mailing Address Details
Address
12620 N Cave Creek Rd Ste 10A
City
State
Zip
85022-6528
Phone Number
623-303-6777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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